Evidence map›Paper›PMID 42519223›Full record

ArticleERJ open research2026

Improvements in small airway dysfunction and respiratory symptoms following tezepelumab for severe asthma.

Aviv Kupershmidt, Gal Elkayam, Nimrod Urtreger, Ariel Malloul, Inbal Regev-Friedman, Avraham Unterman, Shai Moshe Amor, Sharon Enghelberg, Ophir Freund, Amir Bar-Shai

Abstract read
In one paragraph

Article in ERJ open research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Impact of Biologics on Oscillometry Defined Small Airway Dysfunction in Uncontrolled Asthma.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Aviv KupershmidtInstitute of Pulmonology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.ORCID https://orcid.org/0000-0003-4224-4807
Gal ElkayamInstitute of Pulmonology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
Nimrod UrtregerInstitute of Pulmonology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
Ariel MalloulInstitute of Pulmonology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
Inbal Regev-FriedmanInstitute of Pulmonology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
Avraham UntermanInstitute of Pulmonology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.ORCID https://orcid.org/0000-0003-0965-3326
Shai Moshe AmorInstitute of Pulmonology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
Sharon EnghelbergInstitute of Pulmonology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.
Ophir FreundInstitute of Pulmonology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.ORCID https://orcid.org/0000-0002-7272-5284
Amir Bar-ShaiInstitute of Pulmonology, Tel Aviv Sourasky Medical Center, Tel Aviv University, Tel Aviv, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Small airway dysfunction (SAD) is a key feature of severe asthma, contributing to poor symptom control and exacerbations. Tezepelumab has demonstrated efficacy in reducing exacerbations and improving lung function, but its specific effects on SAD remain underexplored. We aimed to assess changes in SAD among patients initiating tezepelumab. Methods: A prospective observational study was carried out among patients with severe asthma treated with tezepelumab in a tertiary centre. SAD was assessed at baseline and 6 months using impulse oscillometry (IOS) and spirometry. We focused on frequency dependence of resistance ( Results: 34 patients were included (median age 60 years, 74% females, 21% biologic-experienced) with a median follow-up of 183 days. There were significant improvements from baseline to follow-up in forced expiratory volume in 1 s (FEV Conclusion: Tezepelumab significantly improved small airway function, which was associated with better asthma control. Our findings highlight SAD as a treatable trait in patients with severe asthma.

Identifiers

PMID42519223
PMCPMC13383268

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.